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Q fever prosthetic joint infection

Scott Weisenberg1, David Perlada1, Thomas Peatman1

  • 1Alta Bates Summit Medical Center â€" Summit Campus, Oakland, California, USA.

BMJ Case Reports
|July 26, 2017
PubMed

Insights

Q fever, a zoonotic infection caused by Coxiella burnetii, can lead to prosthetic joint septic arthritis. This case highlights successful treatment with surgery and prolonged antibiotics.

Area of Science:

  • Infectious Diseases
  • Orthopedics
  • Microbiology

Background:

  • Coxiella burnetii is the pathogen responsible for Q fever, a zoonotic illness.
  • Q fever commonly presents as febrile illness, hepatitis, or pneumonia.
  • Prosthetic joint septic arthritis is an uncommon manifestation of Q fever.

Observation:

  • A patient developed Q fever prosthetic joint septic arthritis.
  • The prosthetic joint infection was caused by Coxiella burnetii.

Findings:

  • The patient's Q fever prosthetic joint septic arthritis responded to a two-stage surgical exchange.
  • Prolonged medical treatment with doxycycline and hydroxychloroquine was administered.

Implications:

  • This case expands the understanding of Q fever manifestations.
  • Effective treatment strategies for Q fever prosthetic joint septic arthritis may involve combined surgical and medical approaches.
  • Early recognition and treatment are crucial for managing this rare complication.
Keywords:
bone and joint infectionsinfectious diseases

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